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TFS Resource File #2.

Article IIImproving Healthcare Delivery by


Decreasing Medical Diagnosis Errors
Using Health Information Technology (HIT)
Topics:

Clinical Decision Support, Medical Diagnosis


Medical Diagnosis Errors, Second Opinions
Healthcare FastFacts, Electronic Health Records

#Electronic Health RecordsEHRs


Electronic Health Records Association:
http://www.himssehra.org/ASP/index.asp
Wake Forest Medical Center bond rating drops after EHR rollout losses;
http://www.journalnow.com/business/business_news/local/article_560a5dba-435511e3-8a6d-001a4bcf6878.html
Survey: EHR costs vary widely:
http://go.antheliohealth.com/rs/antheliohealth/images/Anthelio_Community_Hospital_10
0_Survey_Results_2013.pdf
Senate Hearings Focus On EHR Meaningful Use and Interoperability:
http://www.fierceemr.com/story/senate-hearing-ehrs-focuses-meaningful-use-problemsinteroperability/2015-10-01
Dr. Larry Weed:
http://e-patients.net/archives/2014/09/video-larry-weed-father-of-the-problem-orientedmedical-record-grand-rounds-1971.html
#Computerized Physician/Provider Order Entry
Computerized Physician Order Entry:
https://en.wikipedia.org/wiki/Computerized_physician_order_entry
#Clinical Decision Support
Clinical Decision Support (CDS) Initiative:
https://healthit.ahrq.gov/ahrq-funded-projects/clinical-decision-support-cds-initiative
https://healthit.ahrq.gov/ahrq-funded-projects/clinical-decision-support-initiative/cdsc
https://healthit.ahrq.gov/ahrq-funded-projects/clinical-decision-support-initiative/glides
Advancing Clinical Support:

https://www.healthit.gov/sites/default/files/acds-lessons-in-cds-implementationdeliverablev2.pdf
Clinical Decision Support:
https://www.youtube.com/watch?v=72zhp_6Tcw4
Clinical decision support: It's about more than technology:
http://www.healthcareitnews.com/news/clinical-decision-support-its-about-moretechnology
The Green Button Idea:
http://shahlab.stanford.edu/greenbutton
Clinical Decision Support: More than Just Alerts Tipsheet:
https://www.healthit.gov/sites/default/files/clinicaldecisionsupport_tipsheet.pdf
Clinical Decision Support for Immunization (CDSi):
http://www.cdc.gov/vaccines/programs/iis/cdsi.html
Effects of Computer-Based Clinical Decision Support
Systems on Physician Performance and Patient
Outcomes: A Systematic Review:
http://www.floppybunny.org/robin/web/virtualclassroom/dss/articles/cdss_systemic_patie
nt_outcomes_review_jama_1998.pdf
Evaluating Clinical Support Systems:
http://www.hsrd.research.va.gov/for_researchers/cyber_seminars/archives/vci121608.pdf
Evaluation of Effectiveness and CostEffectiveness of a Clinical Decision Support
System in Managing Hypertension in Resource Constrained Primary Health Care
Settings: Results From a Cluster Randomized Trial:
http://jaha.ahajournals.org/content/4/1/e001213.full
Clinical Decision Support Systems:
https://en.wikipedia.org/wiki/Clinical_decision_support_system
Clinical Decision Support Tipsheet:
http://hie.cdph.ca.gov/documents/ClinicalDecisionSupport_Tipsheet.pdf
Clinical Decision Support:
https://www.youtube.com/watch?v=72zhp_6Tcw4
Clinical Decision Support (CDS):
http://www.healthit.gov/policy-researchers-implementers/clinical-decision-support-cds

Where Are We Going With Clinical Decision Support:


https://www.youtube.com/watch?v=Wnsw30Akmnc
Clinical Decision Support Systems: State of the Art:
https://healthit.ahrq.gov/sites/default/files/docs/page/09-0069-EF_1.pdf
Clinical decision support systems for improving diagnostic accuracy
and achieving precision medicine:
http://www.jclinbioinformatics.com/content/5/1/4
Using EHR Data and Clinical Decision Support Tools:
https://www.youtube.com/watch?v=YesPRh7SvwU
Evaluation of Real-Time Clinical Decision Support Systems for Platelet and
Cryoprecipitate Orders:
http://ajcp.ascpjournals.org/content/141/1/78.full
THE MULTI-LEVEL IMPACT OF CLINICAL DECISION SUPPORT SYSTEM:
ww.pacis-net.org/file/2014/2042.pdf
David Kaelber - Using Big Data From Electronic Health Records for Clinical
Discovery:
https://www.youtube.com/watch?v=do1LX3b4X2A
Explorys.com
https://www.explorys.com/
CDS Vendors:
http://www.informationweek.com/healthcare/clinical-information-systems/10-innovativeclinical-decision-support-programs/d/d-id/1101834?
OpenCDS:
http://www.opencds.org/
Improving Outcomes Using Clinical Decision Support:
http://www.amazon.com/Improving-Outcomes-Clinical-DecisionSupport/dp/0976127725
Medication errors: prevention using information technology systems:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2723209/
The Five Rights of Clinical Decision Support:
http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_050385.hcsp?
dDocName=bok1_050385

Health & Tech: Using Technology to Improve Health CarePart 3: Clinical Decision
Support:
http://familiesusa.org/blog/2014/05/health-tech-using-technology-improve-health-care
%E2%80%94part-3-clinical-decision-support
Workflow and Electronic Health Records in Small Medical Practices:
http://perspectives.ahima.org/workflow-and-electronic-health-records-in-small-medicalpractices/#.VgcQQ9JViko
HL7 Decision Support Service (DSS):
http://www.hl7.org/implement/standards/product_brief.cfm?product_id=12
vCases:
https://vcases.com/
https://www.youtube.com/watch?v=c-59FjRLo_4
The Impact of Automation of Systems on Medical Errors:
Evidence from Field Research:
http://www.jstor.org/stable/23015588
#Medical Diagnoses
Doctors Office Visit:
https://en.wikipedia.org/wiki/Doctor%27s_visit
Review of Systems (ROS):
http://www.azaleacityphysicians.com/PatientForms/ReviewOfSystems-PatientDoc.pdf
Checklist: Review of Systems:
http://www.mabmd.com/images/mazo_riascos_review_of_systems_checklist.pdf
Naturopathy: Not Magic -- Just Conversation and Nurturing:
http://www.medscape.com/viewarticle/803889_5
Future of Doctors Office Visits:
http://www.foxbusiness.com/personal-finance/2013/09/17/what-trip-to-doctor-office-willbe-like-in-future/
The Process of Diagnosis:
http://medicine.ucsf.edu/education/resed/articles/jama6_the_process.pdf
The Diagnostic Process in General Practice: Has It a Two-phase Structure?:
http://fampra.oxfordjournals.org/content/18/3/243.full
Clinical Diagnostic Process: An Analysis:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1586849/

Medical Diagnosis:
https://en.wikipedia.org/wiki/Medical_diagnosis
The Process of Diagnosis:
http://medicine.ucsf.edu/education/resed/articles/jama6_the_process.pdf
Digital Diagnostic Tools:
http://www3.gehealthcare.com/en/products/categories/ultrasound/vscan_portfolio
Reducing Diagnostic Errors Why Now?:
http://www.nejm.org/doi/full/10.1056/NEJMp1508044
Diagnostic Error in Medicine 8th International Conference:
http://www.improvediagnosis.org/?DEM_2015
Diagnostic Errors in Primary Care: Lessons Learned:
http://www.jabfm.org/content/25/1/87.full
Diagnostic Errors More Common, Costly And Harmful Than Treatment Mistakes:
http://www.hopkinsmedicine.org/news/media/releases/diagnostic_errors_more_com
mon_costly_and_harmful_than_treatment_mistakes
National Practitioner Data Base:
http://www.npdb.hrsa.gov/
The diagnostic process in general practice: has it a two-phase structure?:
http://fampra.oxfordjournals.org/content/18/3/243.long
Differential Diagnosis:
https://en.wikipedia.org/wiki/Differential_diagnosis
Depression Diagnosis:
http://www.webmd.com/depression/guide/depression-diagnosis
Computer-aided Medical Diagnosis:
https://en.wikipedia.org/wiki/Computer-aided_diagnosis
Does a Med School Degree Guarantee Diagnosis Skills?:
http://www.medpagetoday.com/PrimaryCare/GeneralPrimaryCare/52991
Isabel:
http://www.isabelhealthcare.com/home/default
Isabel Demo: Decision Support Plus Natural Language Processing:
http://www.health2con.com/news/2013/03/14/isabel/

AMA to offer online access to Isabel diagnosis decision support:


http://www.fiercehealthcare.com/press-releases/new-ama-platform-offer-isabelhealthcares-pro-clinical-decision-support-system
Convenient Care and Telemedicine:
http://www.ncpa.org/pdfs/st305.pdf
Medicine/Doctor-Patient Relationships:
https://en.wikipedia.org/wiki/Medicine#Doctor-patient_relationship
#Second Opinions
Providers see surge in second opinions:
https://www.advisory.com/daily-briefing/2015/08/31/providers-see-surge-in-secondopinions
For Second Opinion, Consult a Computer?:
http://www.nytimes.com/2012/12/04/health/quest-to-eliminate-diagnostic-lapses.html?
_r=1
Patient-initiated second opinions: systematic review of characteristics and impact on
diagnosis, treatment, and satisfaction.:
http://www.ncbi.nlm.nih.gov/pubmed/24797646
New Way To Get Second Opinion:
http://www.wsj.com/articles/new-ways-to-get-a-second-opinion1440437584
Johns Hopkins Second Opinion Program:
http://www.hopkinsmedicine.org/second_opinion/
MyConsult Online Medical Second Opinion:
http://my.clevelandclinic.org/online-services/myconsult
Patient Advocate Foundation:
http://www.patientadvocate.org/help.php/index.php?p=691
WebMDSecond Opinion:
http://www.webmd.com/health-insurance/how-to-ask-for-second-opinion
On-line Second Opinion Services:
http://www.healthit.gov/providers-professionals/faqs/what-patient-portal
How To Survive Your Hospital Visit:
http://www.consumerreports.org/cro/magazine/2014/05/survive-your-hospitalstay/index.htm

#Healthcare Fast Facts


National Center For Health Statistics:
http://www.cdc.gov/nchs/
http://www.cdc.gov/nchs/fastats/
Fast Facts on US Hospitals:
http://www.aha.org/research/rc/stat-studies/fast-facts.shtml
Fast Facts on Physician Visits:
http://www.cdc.gov/nchs/fastats/physician-visits.htm
Hospital Utilization (in non-Federal short-stay hospitals):
http://www.cdc.gov/nchs/fastats/hospital.htm
Healthcare Statistics In US:
http://www.healthpaconline.net/health-care-statistics-in-the-united-states.htm
Home Healthcare In US:
http://www.cdc.gov/nchs/fastats/home-health-care.htm
Births In US:
http://www.cdc.gov/nchs/fastats/births.htm
Deaths In US:
http://www.cdc.gov/nchs/fastats/deaths.htm
Veterans Affairs Fast Facts:
http://www.cnn.com/2014/05/30/us/department-of-veterans-affairs-fast-facts/
Cancer Fast Facts:
http://www.cancer.org/research/cancerfactsstatistics/
Cancer Fast Facts:
http://www.cdc.gov/nchs/fastats/cancer.htm
Drug Use Fast Facts:
http://www.cdc.gov/nchs/fastats/drug-use-therapeutic.htm
Pharmaceutical Statistics:
http://www.nlm.nih.gov/services/Subject_Guides/healthstatistics/pharmaceuticalstatistics
Office-based Physicians Using EHRs, by State:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6305a9.htm

Fast Facts on EHRs:


http://www.cdc.gov/nchs/fastats/electronic-medical-records.htm
Adult Literacy Rates:
https://nces.ed.gov/fastfacts/display.asp?id=69
Office-based Physicians Using EHRs, by State:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6434a10.htm?s_cid=mm6434a10_w
Average Hospital Costs:
https://www.myphysiciansnow.com/how-much-will-that-hospital-stay-cost-you/
Average Hospital Costs:
http://www.beckershospitalreview.com/finance/11-statistics-on-average-hospital-costsper-stay.html
Average Cost Per Inpatient Stay:
http://www.beckershospitalreview.com/finance/average-cost-per-inpatient-day-across-50states.html
Medicare Improper Payments:
http://www.finance.senate.gov/imo/media/doc/100115%20Dodaro%20Testimony%20on
%20Improper%20Payments.pdf
Historic Healthcare Data:
https://www.cms.gov/research-statistics-data-and-systems/statistics-trends-andreports/nationalhealthexpenddata/nationalhealthaccountshistorical.html
Unmet Healthcare Needs:
http://www.nachc.com/client/HealthWanted.pdf
#End of Healthcare Resource File #2.

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